Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2017-08-23-14
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Project Information
| Project Identifiers | Project ID: 212011 DEA: 07252624 EFIS: 0700021272 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-5-R45.4/R61.2 |
| Award Date | 04/17/2017 |
| Closeout Date | 01/25/2021 |
| Work Description | REHABILITATE CONCRETE PAVEMENT. |
| Location Description | LOS ANGELES COUNTY IN LOS ANGELES AND AT CASTAIC FROM 0.2 MILE SOUTH OF ROUTE 14/5 SEPARATION TO 0.7 MILE NORTH OF PALOMAS WASH BRIDGE |
| QA Service Level | 1 (Verified on 05/03/2017) |
Sample Information
| Sample Taken Date | 08/23/2017 | Sample Unique Key | 14 |
|---|---|---|---|
| Will the laboratory/organization for which you are a member perform testing on this material sample? | Yes | Date that the sample was received by the laboratory/organization performing the testing | 08/23/2017 |
| Sample type | Quality Assurance | A brief description of the sample | 6 x 12 LCB Cylinder |
| The quantity of what the sample constitutes | 6 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | JOE | Last name of sampler or witnessed by | WALLEN |
| Title of sampler | TWINNING QC | Telephone number of sampler | Unknown |
| Laboratory sample identification | 965-73 | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | CALPORTLAND | Transportation Laboratory (TL) Number | 914173 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | Unknown |
| Structure name | Unknown |
Material Information
| Material Type | Concrete | The concrete mix design number | LB17-0047R |
|---|---|---|---|
| The truck number from where the sample was collected | NOT PROVIDED | The batch plant ticket number from where the sample was collected | NOT PROVIDED |
| Concrete batch plant | Unknown | The fabricator/manufacturer designation for the sample | PLANT |
| A detailed description of where the material sample was collected | SKIPLOADER TO WHEELBARROW | Where the material sample would have been placed if not sampled | ATKINSON PORTABLE PLANT I 5 CALGROVE |
| From Lot No. | Unknown | Bag Lot No. | Unknown |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2017-08-23-14-1 ASTM C39-17a (Verified)